Advanced Practice: Cardiac Arrest in Pregnancy
Tue, 03/20/2018 - 8:37pm
Editor:
Differences:
- Emphasis on early airway support.
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Uterus displacement to the left to increase venous return.
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Chest compressions are slightly higher.
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DO NOT use Amiodarone → Class D in pregnancy .
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If trauma, place chest tube in the 3rd/4th ICS, anterior axillary line.
Similarities:
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Epinephrine should not be withheld for theoretical risk of uterine artery vasoconstriction.
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Defibrillate per usual → remove fetal heart monitoring because can lead to direct electrical injury.
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Therapeutic hypothermia per usual indications.
Peri-mortem C-Section: reviewedhere
References:
Mallemat, H. Supportive Management of Critical Illness in the Pregnant Patient. Emergency Medicine Practice. June 2012; Volume 2, Number 3